Provider Demographics
NPI:1316628977
Name:HESTER, KATLYN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:KATLYN
Middle Name:
Last Name:HESTER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 W 3RD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2733
Mailing Address - Country:US
Mailing Address - Phone:662-607-9045
Mailing Address - Fax:
Practice Address - Street 1:SHEPHERD JUNIOR HIGH
Practice Address - Street 2:1407 N ALTA MESA DR
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201
Practice Address - Country:US
Practice Address - Phone:480-472-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
AZ5901388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist